A patient has been prescribed transdermal nitroglycerin patches. ...

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A patient has been prescribed transdermal nitroglycerin patches. What medication education should the nurse provide?
 
  1. Place the patch on the upper arm or leg.
  2. Rotate sites of application.
  3. Remove the patch for an hour each day.
  4. Cleanse the skin under the patch after removal.
  5. Triple wrap the patch in plastic wrap for disposal.

Question 2

A mother phones the clinic and tells the nurse, My 5-year-old son had a febrile seizure this morning. She adds that this is the child's first seizure experience. The nurse responds by asking the mother to bring the child in to be seen today. What other information should the nurse offer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Febrile seizures are uncommon in boys.
  2. High temperatures generally induce seizures.
  3. Five-year-olds are too old for febrile seizures.
  4. Febrile seizures occur in up to 2 of children.
  5. Seizure medications are usually not necessary for febrile seizures.

[akpaschal]

Answer to Question 1

2,4
Rationale 1: The patch should not be applied to the arm or leg as increased muscle activity may increase drug absorption.
Rationale 2: Sites of application should be rotated to prevent irritation.
Rationale 3: The patch should be removed for a period of 612 hours as directed, typically at night or when the patient is sleeping.
Rationale 4: After removing the patch, it is important to cleanse the skin to remove any residual medication.
Rationale 5: While it is important to dispose of these patches carefully, triple wrapping in plastic wrap is not necessary.

Global Rationale: Sites of application should be rotated to prevent irritation. After removing the patch, it is important to cleanse the skin to remove any residual medication. The patch should not be applied to the arm or leg as increased muscle activity may increase drug absorption. The patch should be removed for a period of 612 hours as directed, typically at night or when the patient is sleeping. While it is important to dispose of these patches carefully, triple wrapping in plastic wrap is not necessary.

Answer to Question 2

4,5
Rationale 1: Febrile seizures occur in both genders.
Rationale 2: Many children experience high temperatures without experiencing seizures.
Rationale 3: Febrile seizures are most common in childhood.
Rationale 4: Up to 2 of children experience seizure activity related to temperature elevation.
Rationale 5: The best course of action for febrile seizures is prevention by using acetaminophen to prevent onset of fever.
Global Rationale: Up to 2 of children experience seizure activity related to temperature elevation. The best course of action for febrile seizures is prevention by using acetaminophen to prevent onset of fever. Febrile seizures occur in both genders. Many children experience high temperatures without experiencing seizures. Febrile seizures are most common in childhood.

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Gracias!

[dawsa925]

Excellent